Opportunity Information: Apply for RFI 669 LHESS LIBERIA 2023
The LOCAL HEALTH SYSTEMS SOLUTIONS (LHESS) Activity is a USAID Liberia opportunity focused on strengthening Liberia's health system so the country can deliver better, more equitable care and reduce maternal and child illness and death. The core idea is that improving health outcomes is not only about individual programs or facilities, but about reinforcing the underlying systems that make care reliable: how services are organized and managed, how information is collected and used, how labs function, and how health services are financed so patients can actually afford to use them. The activity is framed as part of Liberia's broader commitments, including the Sustainable Development Goals, especially SDG target 3.8 on Universal Health Coverage, which emphasizes financial risk protection, access to quality services (including diagnostics), and access to safe, effective, quality, and affordable essential medicines and vaccines.
USAID plans to support Liberia's Ministry of Health (MoH) by providing a targeted package of technical assistance designed to align with national priorities and existing government processes. A key feature is the emphasis on working through and with local stakeholders, rather than relying on externally driven solutions, to develop more efficient approaches that improve quality and equity in healthcare delivery. While the support is expected to align at the national level, it is explicitly intended to inform and strengthen implementation at subnational levels, meaning counties, districts, and individual health facilities. In practical terms, this signals a focus on helping national policy, planning, standards, and tools translate into routine practice and measurable improvements where patients actually receive care.
Two technical areas are highlighted as major components of this health systems strengthening effort: laboratory systems and health information systems. Strengthening laboratory systems generally supports better diagnosis and treatment, improves disease surveillance, and increases confidence in clinical decision-making. Strengthening health information systems points to improving the quality, availability, and use of data so that the MoH and local health managers can plan services, allocate resources, monitor performance, and respond quickly to public health needs. Together, these components support the broader goal of improving access to quality care, increasing efficiency, and improving patient outcomes across the health system.
The LHESS activity also includes support for health financing reforms, with specific mention of the Liberia Health Equity Fund (LHEF). This part of the opportunity reflects the Universal Health Coverage priority of reducing the financial burden on patients, so people can seek and receive care without facing undue hardship. By supporting financing mechanisms like the LHEF, the activity aims to expand access to essential services, particularly for vulnerable populations, while strengthening how funds are organized and used to support quality services.
From an opportunity standpoint, this is a USAID Liberia funding opportunity (CFDA 98.001) with an unrestricted eligibility posture, meaning it is open to a broad range of applicant entity types unless additional eligibility details are provided elsewhere in the full notice. The opportunity anticipates a single award, with an award ceiling of $24,000,000. The listing identifies the opportunity category and instrument type as "Other," and it was issued by the Agency for International Development, USAID Monrovia. The posting was created on February 16, 2023, with an original closing date of March 8, 2023, and it is labeled as RFI 669 LHESS LIBERIA 2023, indicating it may have been structured as a request for information or a related preliminary step tied to eventual implementation planning.
Overall, LHESS is positioned as a flagship health systems strengthening effort meant to help Liberia improve the quality, affordability, and equity of healthcare delivery, with particular emphasis on practical system improvements (labs and data systems) and financing reforms that reduce out-of-pocket barriers to care, all implemented in close alignment with MoH priorities and with attention to how national reforms play out at county, district, and facility levels.Apply for RFI 669 LHESS LIBERIA 2023
- The Agency for International Development, Liberia USAID-Monrovia in the health sector is offering a public funding opportunity titled "LOCAL HEALTH SYSTEMS SOLUTIONS (LHESS) ACTIVITY" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001.
- This funding opportunity was created on Feb 16, 2023.
- Applicants must submit their applications by Mar 08, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $24,000,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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